Incidence and pattern of oesophageal perforations in Kenyatta National Hospital.
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Date
1990Author
Wachira, J.N
Mwaniki, D.L
Odhiambo, P.A
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
A retrospective study of 42 patients with perforations of the oesophagus during the period 1981-1987 indicated that 57.1% of the perforations were iatrogenic. Diseases of the oesophagus and in contiguous structures and foreign bodies in the oesophagus caused perforations in 31% of the cases. Perforations in 35.7% of the patients were located in the middle third of the oesophagus. The lower and upper thirds were affected in 31% of the patients in each site. The presenting physical signs included tachycardia (78.6%), fever (76.2%) and dyspnoea (59.5%). The main accompanying symptoms were chest pain and coughs in 100% and in 50% of the patients respectively. Radiographic findings showed hydropneumothorax in 40.5% of the cases and consolidation in 38.1% of the patients. Oesophagoscopy was positive in 78% of cases tested while thoracocentesis was positive in all cases that were tested.
URI
http://hinari-gw.who.int/whalecomwww.ncbi.nlm.nih.gov/whalecom0/pubmed/2282893http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/17320
Citation
East Afr Med J. 1990 Oct;67(10):712-6Publisher
Department of Surgery, College of Health Sciences, Nairobi.
Collections
- Faculty of Health Sciences (FHS) [10387]